Revision Breast Augmentation
This is a lady who had a Revision Breast Augmentation. She had had old saline implants (375 cc) on top of the muscle (done elsewhere). She bottomed out and has visible rippling of the capsule in the upper pole.
I removed the old implants, put new silicone breast implants (high profile 475 cc) under the muscle (submuscular placement), fixed the upper pole capsule, and did a small wedge resection of the lower pole.
This is about three months out.
For more about breast augmentation, see my website.
April 16th, 2009 at 11:04 pm
Are there any concerns when revising a breast implant going from above muscle to below muscle as you’ve described? More specifically, does this affect how the skin falls around the implant?
April 27th, 2009 at 8:53 pm
Sometimes when there is a severe contracture, if I remove the bad capsule (the covering around the implant) it “releases” the breast tissue and surrounding skin and lets it fall. So someone like that MAY need a lift. Although this can happen in either plane location, I think under the muscle holds the implant a little higher, and so it may exacerbate this problem. So I have left the implant on top of the muscle before (with the patient’s permission, of course) to try and avoid a lift. Of course, the breast may sit a little lower, as well.